CNCD

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Your Names *
First Last
Are you the contact person?
Yes
No
If no, who is the contact person?
Name of your organization *
Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Email *
Phone *
Web Site
Geographic Scope *
Organization by region *
North Africa

West Africa
Central Africa
East Africa
Madagascar
Seycheles
South Africa
Horn of Africa
All of Africa
Description of Organization
Partnership Status with CNCD-Africa
General
Special
Sponsor
Grantee
Pending
Type of organization
Association
Institution
Foundation
Intergovernmental Org.
Local Governement
Non-Government Organizations (NGO)
Media

Private Sector

Academics

Indigenous People org.

Rights, development

Other
Field of activities

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If Other
Areas of expertise/specialization
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If Other
Explain your areas of expertise
Funding structure *
What resources can your organization offer in the region? *
What are your future or planned activiteis?
Areas of gaps or constraints
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If Other
Explain the constraints you are experiencing?
3 + 9 is
*(Enter the correct answer)